Provider Demographics
NPI:1215268487
Name:OLTEAN, FLAVIU (DDS)
Entity type:Individual
Prefix:
First Name:FLAVIU
Middle Name:
Last Name:OLTEAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9123 E MISSISSIPPI AVE
Mailing Address - Street 2:APT 17-204
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-2088
Mailing Address - Country:US
Mailing Address - Phone:720-670-7366
Mailing Address - Fax:
Practice Address - Street 1:9123 E MISSISSIPPI AVE
Practice Address - Street 2:APT 17-204
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-2088
Practice Address - Country:US
Practice Address - Phone:720-670-7366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN-10095122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist